Fant, John Lee

Fant, John Lee is an sole proprietor health care provider with primary practice located at 1095 25Th St Se , Salem OR 97301-5049. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Fant, John Lee can be contacted via phone (503) 399-7400.

Contact Information

Primary practice address
1095 25Th St Se Salem OR 97301-5049
Phone: (503) 399-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 06-07-55U Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X 06-07055U Oregon

Profile Details

NPI number 1962548230
LBN Legal business name Fant, John Lee
Credentials CADC I
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers